Matagorda Renal Dialysis Center

LBN: Nra Bay City L.P.
Matagorda Renal Dialysis Center is an health care organization with primary practice located at 1105 Avenue H , Bay City TX 77414-3538. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Nra Bay City L.P. can be contacted via phone (979) 245-0099, or through Fawcett, Mark R. via phone (781) 699-9000.

Contact Information

Primary practice address
1105 Avenue H Bay City TX 77414-3538
Fax: (979) 245-6435
Website:
Authorized official contact:
Name: Fawcett, Mark R.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 007998 Texas

Profile Details

NPI number 1497792337
LBN Legal business name Nra Bay City L.P.
DBA Doing business as Matagorda Renal Dialysis Center
Authorized official Fawcett, Mark R.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 31st, 2006
Last updated Mar 12th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497792337 NPPES
Texas MEDICAID 1539445
Texas MEDICAID 013425
Texas Other 45D1016253

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